<div class="widget-box">
    <div class="widget-title"> <span class="icon"> <i class="icon-info-sign"></i> </span>
        <h5>{:L('edit_item')}</h5>
        <a href="{:U('index')}" class="label label-info">{:L('go_back')}</a>
    </div>
    <div class="widget-content nopadding">
        <form class="form-horizontal" method="post" action="__URL__/insert">
            <div class="control-group">
                <label class="control-label">{:L("name")}</label>
                <div class="controls">
                    <input type="text" name="name" id="name" required />
                </div>
            </div>
            <div class="form-actions">
                <input type="button" value="{:L('go_back')}" onclick="javascript:history.go(-1);" class="btn">
                <input type="submit" value="{:L('submit')}" class="btn btn-success">
            </div>
        </form>
    </div>
</div>